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췌장암과 감별하기 어려웠던 갑상선 유두암의 췌장 전이 1예

Other Titles
 A Case of Pancreatic Metastasis From a Papillary Thyroid Carcinoma Mimicking Pancreatic Cancer 
Authors
 이지훈  ;  이동기  ;  장성일  ;  최홍규  ;  박찬익  ;  윤지은  ;  홍순원 
Citation
 Korean Journal of Medicine, Vol.87(2) : 187-192, 2014 
Journal Title
Korean Journal of Medicine
ISSN
 1738-9364 
Issue Date
2014
Keywords
Cancer of the thyroid ; Pancreatic cancer ; Fine-needle aspiration ; Endoscopic ultrasonography
Abstract
Papillary thyroid cancer (PTC) has a good prognosis and a low incidence of distant metastases. It is extremely rare for PTC to metastasize to the pancreas. Only five cases have been previously reported worldwide. Most cases are discovered incidentally by abdominal computed tomography (CT) or positron emission tomography-CT (PET-CT) during follow-up studies after thyroidectomies. Pancreatic metastasis of PTC is usually unidentifiable by a whole-body I131 scan, a common follow-up modality. When a pancreatic mass is found in patients with PTC, it must be differentiated from pancreatic cancer. In previous reports, patients with pancreatic metastases of PTC underwent operations for therapeutic diagnosis or underwent fine needle aspiration biopsies (FNAB). However, it is unclear whether the benefit of an operation outweighs the risk. We experienced a case of PTC with pancreatic metastasis that was found on PET-CT. Contrast-enhanced endoscopic ultrasonography (EUS) was performed to evaluate the characteristics of the pancreatic mass and pathological confirmation was obtained cytologically via EUS-FNA.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Lee, Dong Ki(이동기) ORCID logo https://orcid.org/0000-0002-0048-9112
Lee, Ji Hoon(이지훈)
Jang, Sung Ill(장성일) ORCID logo https://orcid.org/0000-0003-4937-6167
Choi, Hong Kyu(최홍규)
Hong, Soon Won(홍순원) ORCID logo https://orcid.org/0000-0002-0324-2414
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163585
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